Individual
MISS ELIANNE MARIE MEDINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 CALLE ISABEL, PONCE, PR 00730-3722
(787) 848-3073
(787) 812-0301
Mailing address
PO BOX 607087, BAYAMON, PR 00960-7087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14004
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
$$$$$$$$$
—
PR
Enumeration date
11/08/2017
Last updated
09/12/2025
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